Effect of Palliative Care on Quality of Life and Survival after Cardiopulmonary Resuscitation: A Systematic Review

Ali Hasanpour Dehkordi, Diana Sarokhani, Mahin Ghafari, Mohsen Mikelani, Leila Mahmoodnia

Abstract


Cardiac and respiratory arrest is reversible through immediate cardiopulmonary
resuscitation (CPR). However, survival after CPR is very low for various reasons. This systematic review study was conducted to assess the effect of palliative care on quality of life and survival after CPR.In the present meta‑analysis and systematic review study, two researchers independently searched Google Scholar and MagIran, MedLib, IranMedex, SID, and PubMed for articles published
during 1994–2016 and containing a number of relevant keywords and their Medical Subject Headings (MeSH) combinations. A total of 156 articles were initially extracted.The success of initial resuscitation was reported to be much higher than the success of secondary resuscitation (survival until discharge). Moreover, the early detection of cardiac arrest, a high‑quality CPR, immediate defbrillation, and effective postresuscitation care improved short‑ and long‑term outcomes in these patients and signifcantly affected their quality of life after CPR. Most survivors of CPR can have a reasonable quality of life if they are given proper follow‑up and persistent treatment. Concerns about the low quality of life after CPR are therefore not a worthy reason to end the efforts taken for the victims of cardiac arrest. More comprehensive education programs and facilities are required for the resuscitation of patients and the provision of post‑CPR intensive care.

Keywords: Cardiopulmonary resuscitation, palliative care, postcardiopulmonary resuscitation survival, quality of life


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